| NPI | 1578586640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A94944) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: AZ 37683) |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 15848) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2016-07-27 |